TSH testing is reported with CPT84443. The scenario describes a workup for possible thyroid dysfunction, but there isno confirmed thyroid diagnosisprovided-only symptoms (fatigue and weight gain). In outpatient coding, when a definitive diagnosis is not established, you code thesigns/symptomsthat justify the test.
Therefore, the correct ICD-10-CM codes areR53.83(other fatigue) andR63.5(abnormal weight gain), as offered. You shouldnotassign a thyroid disorder code such asE07.9(unspecified disorder of thyroid) unless the provider documents an actual thyroid disorder diagnosis; suspicion alone does not support it in the outpatient setting. Options C and D list84445, which is not the standard CPT code for TSH measurement in CPC exam coding. This question is testing both correct lab code selection and the outpatient guideline principle of codingsymptomswhen the diagnosis is not confirmed. Hence,84443 with R53.83 and R63.5is correct.

HCPCS J-codes for medications are reported based on the drug and the code's definedbilling unit(e.g., mg per unit).Ondansetronis reported withJ2405, which is typically defined per1 mg(so 2 mg is reported as2 units# J2405 × 2).Ketorolac tromethamineis reported withJ1885, commonly defined per15 mg(so a 15 mg dose is1 unit# J1885). Option A matches this unit logic:J2405 × 2for 2 mg ondansetron, plusJ1885for 15 mg ketorolac.
Option B incorrectly multiplies ketorolac by 15 units, which would overstate the dose because the code unit is not 1 mg in this context. Option C underreports ondansetron units if the unit is 1 mg. Option D uses an incorrect J-code for ketorolac. CPC exam tip: always read theJ-code unit definitionand convert the administered dose into billable units accurately.

Cystourethroscopy: This is a procedure that involves the use of a cystoscope to look inside the urethra and bladder.
Pyeloscopy: Involves the examination of the upper urinary tract, typically done through the cystoscope.
Lithotripsy: A procedure that uses shock waves or a laser to break up stones in the kidney, bladder, or ureter.
Indwelling stent insertion: A procedure to place a stent in the ureter to help urine flow from the kidney to the bladder.
52356: Cystourethroscopy with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization and
/or ureteral stent placement).
The code 52356 includes all components mentioned: cystourethroscopy, pyeloscopy, lithotripsy, and stent insertion performed in the same operative session.
References:
AMA ' s CPTProfessional Edition (current year)
ICD-10-CM (current year), HCPCS Level II (current year)

89258 = Thawing of cryopreserved embryos
89250 = Culture of embryos, per day (reported once per encounter)